Individual
DR. MICHAEL G FITZSIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, GRB 406E, BOSTON, MA 02114-2696
(617) 726-8808
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
206890
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
206890
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114961
—
MA
01
—
206890
TUFTS HEALTH PLAN
MA
01
—
J22836
BCBS MA
MA
Enumeration date
03/10/2006
Last updated
09/16/2014
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